Organization Active NPI

Dawn R. Reese, PH.D., PLC

  • Clinical Psychologist
  • Newport News, VA
National Provider Identifier
1083806483
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810002415 Issued in VA
Legal business name
DAWN R. REESE, PH.D., PLC
Practice address
705 Mobjack PL
Suite C
Newport News, VA 23606-1966
Phone
(757) 591-2300
Fax
(757) 591-2130
NPI assigned
Aug 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Mary R Grimsley
Title
Office Manager
Phone
(757) 591-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0810002415 VA Primary

Addresses

Primary practice location

705 Mobjack PL
Suite C
Newport News, VA 23606-1966

Mailing address

705 Mobjack PL
Suite C
Newport News, VA 23606-1966
Phone (757) 591-2300

National Provider Directory

National Provider Directory

Locations

705 Mobjack Pl
Ste C
Newport News, VA 23606
Phone (757) 591-2300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1083806483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MOBJACK PL",
            "address_2": "SUITE C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061966",
            "telephone_number": "757-591-2300",
            "fax_number": "757-591-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MOBJACK PL",
            "address_2": "SUITE C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061966",
            "telephone_number": "757-591-2300",
            "fax_number": "757-591-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN R. REESE, PH.D., PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "GRIMSLEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-591-2300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.